JASON P PREVELIGE (Credential# 845721) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2022. The license status is ACTIVE.
JASON P PREVELIGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.005988. The credential type is emergency medical technician. The effective date is October 1, 2019. The expiration date is September 30, 2022. The business address is 220 Andrassy Ave, Fairfield, CT 06824-4138. The current status is active.
| Licensee Name | JASON P PREVELIGE |
| Credential ID | 845721 |
| Credential Number | 70.005988 |
| Credential Type | Emergency Medical Technician |
| Business Address |
220 Andrassy Ave Fairfield CT 06824-4138 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-05-17 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2022-09-30 |
| Refresh Date | 2019-07-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 892312 | 23.002305 | Physician Assistant | 2009-08-28 | 2020-07-01 - 2021-06-30 | ACTIVE |
| 894629 | CSP.0046499 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 892316 | 23-TEMP | Physician Assistant Temporary Permit | - | PENDING |
| Street Address | 220 ANDRASSY AVE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-4138 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Betsy M Komornik | 220 Andrassy Ave, Fairfield, CT 06430 | Dental Hygienist | 1997-09-25 ~ 1998-11-30 |
| Michael M Komornik | 220 Andrassy Ave, Fairfield, CT 06430 | Pharmacist | 1800-12-27 ~ 1995-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jody Eisemann | 284 Andrassy Ave, Fairfield, CT 06824-4138 | Acupuncturist | 2020-03-01 ~ 2022-02-28 |
| Andrew J Murray | 228 Andrassy Ave, Fairfield, CT 06824-4138 | Public Service Technician - Telephone | 2014-10-01 ~ 2015-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | Emergency Medical Technician |
| License Type + County | Emergency Medical Technician + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason A Cioci · Jason Cioci Home Improvements | 4 North Road, Waterford, CT 06385 | Emergency Medical Technician | 2017-04-10 ~ 2020-06-30 |
| Jason A Knightly · Jason Knightly Home and Property Services | 129 Woods Rd, Somers, CT 06071-1247 | Emergency Medical Technician | 2011-03-24 ~ 2014-01-01 |
| Jason Finnegan · Jason Finnegan Construction | 5 Summer St, New Canaan, CT 06840-4810 | Emergency Medical Technician | 2011-01-28 ~ 2013-07-01 |
| Jason Q Mow | 913 Wethersfield Ave Apt 31, Hartford, CT 06114-3130 | Emergency Medical Technician | ~ |
| Jason D Costello | 490 Rt 148, Killingworth, CT 06417 | Emergency Medical Technician | ~ 1995-01-01 |
| Jason Deschene | 29 Norman Rd, Lebanon, CT 06249-1518 | Emergency Medical Technician | ~ |
| Jason J Varghese | 6 Shoreview Ln, Danbury, CT 06811-2768 | Emergency Medical Technician | ~ |
| Jason M Blankfein | 12 Hitchcock Rd, Westport, CT 06880-2629 | Emergency Medical Technician | ~ |
| Jason French | 33 Nichols St, Ansonia, CT 06401 | Emergency Medical Technician | ~ |
| Jason D Brown | 154 Clarence St, Bridgeport, CT 06608-2226 | Emergency Medical Technician | ~ |
Please comment or provide details below to improve the information on JASON P PREVELIGE.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).